Doctor Name: | MS. SARAH ELIZABETH POLK |
NPI Number: | 1063666089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M |
License Number: | 016.005385 |
Business Practice Address: | 1502 Pierce St Sioux City, IA - 511051246 |
Business Phone Number: | 7122550502 |
Business Fax Number: | 7122589977 |
Mailing Address: | 3014 S Lakeport St, SIOUX CITY |
State: | IA |
Postal Code: | 511064220 |
Phone Number: | 8473224331 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 016.005385 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |